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Historic Cemetery • Annual Monitoring Form
Please email
grants@
null
preservewa.org
or call 206-462-2999 if you have any questions.
History Cemetery Grants • Annual Monitoring
Cemetery Name
County
Adams
Asotin
Benton
Chelan
Clallam
Clark
Columbia
Cowlitz
Douglas
Ferry
Franklin
Garfield
Grant
Grays Harbor
Island
Jefferson
King
Kitsap
Kittitas
Klickitat
Lewis
Lincoln
Mason
Okanogan
Pacific
Pend Oreille
Pierce
San Juan
Skagit
Skamania
Snohomish
Spokane
Stevens
Thurston
Wahkiakum
Walla Walla
Whatcom
Whitman
Yakima
Cemetery Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Grant Cycle in which Funds were Awarded
—-
2021-2023
2017-2019
2019-2021
Owner's Name
First
Last
Phone
Email
Owner's Mailing Address
Street Address
City
State
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Describe any changes, alterations, new building/features to the cemetery in the last year.
For example: was a columbarium built or a fence replaced?
If changes have been made, did you contact program staff prior to implementing the changes?
*
Yes
No
N/A (did not make changes)
Describe any damage the cemetery incurred in the last year, noting the cause of damage.
Describe any anticipated changes or projects in upcoming year.
Program staff will request more information if necessary, but it is still your responsibility to contact staff before any significant projects begin that will impact the cemetery within the 10-year maintenance agreement period.
Photo Documentation
Please submit photos illustrating all sides of the barn. If changes or alterations have been made to the barn, include additional images illustrating these changes. Please label photo file names.
Drop files here or
Select files
Max. file size: 50 MB.
Submission
*
I hereby acknowledge that the information provided in this form is complete and accurate.
Today's Date
*
MM slash DD slash YYYY